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Organization
MIND GUIDE, LCSW, P.C.
Active
Organization
MIND GUIDE, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENA ROITGARTS LCSW-R (PRESIDENT AND PSYCHOTHERAPIST)
(917) 748-0814
Entity
Organization
Contact information
Practice address
11020 71ST RD, SUITE 104, FOREST HILLS, NY 11375-4945
(917) 748-0814
(516) 620-4567
Mailing address
11 LAKEVILLE DR, ROSLYN, NY 11576-2514
(917) 748-0814
(516) 620-4567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071633
NY
Other
Enumeration date
11/27/2009
Last updated
11/27/2009
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